Individual
DR. REID H. HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 MAIN ST, SUITE 500, PEORIA, IL 61602-1005
(309) 637-3500
(309) 637-3507
Mailing address
900 MAIN ST, SUITE 500, PEORIA, IL 61602-1005
(309) 637-3500
(309) 637-3507
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-064366
IL
Other
Enumeration date
07/09/2005
Last updated
11/24/2009
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